Mat Kendall, MPHDirector of the Office of Provider Adoption Support (OPAS) Leila Samy, MPHRural Health IT Coordinator
Rural and Critical Access Hospital Update Health IT Policy Committee MeetingDecember 4, 2013
Office of the National Coordinator for Health IT
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As of July 31, 20131,115 (65%) CAHs and small, rural hospitals achieving
Meaningful Use. – 62% (approximately 822 of 1,332) of CAHs– 77% (approximately 293 of 383) of small, rural hospitals
(those generally with less than 50 staffed beds)
Jan-11 Mar-11 May-11 Jul-11 Sep-11 Nov-11 Jan-12 Mar-12 May-12 Jul-12 Sep-12 Nov-12 Jan-13 Mar-13 May-13 Jul-130%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Not engagedREC enrolled onlyRegistered, not AIU or At-testAIU, not AttestAttested, Not PaidAttested, Paid
48%
62%
76%
86%
96%
Based on CMS EHR Incentive data through July 31, 2013 and ONC CRM data through Au-gust 14, 2013. Total number of Critical Ac-cess Hospitals=1,332.
Progress Over Time Among Critical Access Hospitals
Progress Over Time Among Small Rural Hospitals (non Critical Access Hospitals)
Jan-11
Feb-11
Mar-11
Apr-11
May-11
Jun-11Jul-1
1
Aug-11
Sep-11
Oct-11
Nov-11
Dec-11
Jan-12
Feb-12
Mar-12
Apr-12
May-12
Jun-12Jul-1
2
Aug-12
Sep-12
Oct-12
Nov-12
Dec-12
Jan-13
Feb-13
Mar-13
Apr-13
May-13
Jun-13Jul-1
30%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Not engaged
REC enrolled only
Registered, not AIU or Attest
AIU, not Attest
Attested, Not Paid
Attested, Paid
74%
77%
84%
89%91%
Based on CMS EHR Incentive data through July 31, 2013 and ONC CRM data through August 14, 2013.
Total number of small rural hospitals =383. This count does not include Critical Ac-cess Hospitals and does in-clude rural hospitals covered by the Small Hospital Im-provement Program, which serves rural hospitals with fewer than 50 staffed beds.
Attested Not Attested
from the HHS Office of the National Coordinator for Health IT
Location of Critical Access & Small Rural Hospitals by Attestation StatusJuly 2013
Map of Critical Access Hospitals as well as small rural hospitals (those covered by the Small Hospital Improvement Program, which serves rural hospitals with fewer than 50 staffed beds). Hospitals are identified as attested or not attested based on CMS EHR Incentive Program Meaningful Use attestation status as of July 31, 2013.
We’re only at the end of the Beginning
Office of the National Coordinator for Health IT
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Severe Challenges: Funding, Broadband, Workforce, Technical
Broadband Unavailable or Insufficient
Vendor Selection/EHR Usability
Lack of Technical Support from EHR Vendor
Security and/or Privacy Risks
Leadership/Executive Cooperation
Inadequate EHR training for Employees
Clinical Staff Cooperation
Lack of IT Personnel
Workflow changes
Broadband Implementation Costs
Availability of Grants/Loans to Support EHR
EHR Implementation Costs
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
11%
15%
16%
20%
7%
17%
22%
27%
30%
23%
35%
50%
Percent of Critical Access Hospitals Reporting Significant Challenges
Cost-Related Chal-lenges
Workforce and Staffing Chal-lenges
Technical and Other Challenges
Rural Community of PracticeMaintain Situational Awareness
Office of the National Coordinator for Health IT
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Expand Funding for Rural Health IT
ONC and USDA Rural Development launched an initiative to expand funding for CAHs and rural hospitals.
FY 2013 Pilots: Over $38 Million in funding to CAHs and rural hospitals across 4 states.
FY 2014: ONC and Rural Development are taking this initiative to scale nationwide.
Office of the National Coordinator for Health IT
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Rural Community of PracticeDevelop tools and resources
www.HealthIT.gov/RuralHealth